COLIN RUSSELL

CHARLESTON, SC
NPI1912491648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: SC  LL52729)
Enumeration Date2018-06-16
Last Update Date2018-06-16
Business Address
COLIN RUSSELL MD
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-8905
Phone number: 240-446-3263
Mailing Address
COLIN RUSSELL MD
441 MEETING ST APT 347
CHARLESTON, SC 29403-7819
Phone number: 410-842-5263